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General NPI Number Information
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NPI Number | 1831030600
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Entity Type | Organization
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Legal Business Name | SYCAMORE SPECIALTY HOSPITAL LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 225 EDWARD ST
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City | SYCAMORE
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State | IL
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Zip | 60178-2137
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Country | US
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Telephone | 815-991-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 225 EDWARD ST
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City | SYCAMORE
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State | IL
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Zip | 60178-2137
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Country | US
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Telephone | 815-991-5366
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SAIFULLAH NASIR
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Credential | MD
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Telephone | 815-991-5366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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